Active NPI
Central Prosthetics & Orthotics Inc
- Prosthetic/Orthotic Supplier
- Lexington, KY
National Provider Identifier
1275628430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- Legal business name
- CENTRAL PROSTHETICS & ORTHOTICS INC
- Practice address
- 3295 Eagle View Lane
Lexington, KY 40509-1852 - Phone
- (859) 263-7712
- Fax
- (859) 263-7607
- NPI assigned
- Oct 4, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Ed H Gildehaus III, CPO FAAOP CPED
- Title
- President Owner
- Phone
- (859) 263-7712
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | Primary |
Addresses
Primary practice location
3295 Eagle View Lane
Lexington, KY 40509-1852
Mailing address
3295 Eagle View Lane
Lexington, KY 40509-1852
Phone (859) 263-7712
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000066651 | Other | ANTHEM | |
| 90030347 | Medicaid | KY | |
| 9565 | Other | HUMANA |
Other names 1
- Central Brace & Prosthetics Inc
National Provider Directory
National Provider DirectoryLocations
3295 Eagle View Ln
Lexington, KY 40509
Phone (859) 263-7712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1291161600000",
"number": "1275628430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3295 EAGLE VIEW LANE",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405091852",
"telephone_number": "859-263-7712",
"fax_number": "859-263-7607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3295 EAGLE VIEW LANE",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405091852",
"telephone_number": "859-263-7712",
"fax_number": "859-263-7607"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CENTRAL PROSTHETICS & ORTHOTICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-04",
"last_updated": "2010-12-01",
"status": "A",
"authorized_official_last_name": "GILDEHAUS",
"authorized_official_first_name": "ED",
"authorized_official_middle_name": "H",
"authorized_official_title_or_position": "PRESIDENT OWNER",
"authorized_official_telephone_number": "859-263-7712",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III",
"authorized_official_credential": "CPO FAAOP CPED"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000066651",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "90030347",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "9565",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Central Brace & Prosthetics Inc",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Lexington, KY
- Central Kentucky Surgery, PSC
- Central Kentucky Wellness Center, LLC
- Central Ky Home Care LLC
- Central Ky Nephrology & Hypertension
- Central Physicians Imaging
- Central Prosthetics & Orthotics, Inc
- Central Prosthetics & Orthotics, Inc.
- Central Radiology Associates
- Central Radiology Associates, LLP
- Centro Hispano Urgencias Medicas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.